Riots Manual 1 - Psychosocial Care for Individuals - KAMHA.ORG

8/9/2019 Riots Manual 1 - Psychosocial Care for Individuals - KAMHA.ORG

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INFORMATION MANUAL 1

PSYCHOSOCIAL CARE

for

INDIVIDUALS


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*ACTIONAID INDIA, **OXFAM INDIA, ***NIMHANS

RIOTS

Prepared by:

Ms Antara Sen Dave M S W, M.Ed*Consultant

Dr K Sekar M A, PhD*Senior Consultant

Mr Subhashis Bhadra M S W, M Phil.**Psycho Social Programme Co-ordinator

Mr G P Rajshekhar M SW**Social Worker

Dr K V Kishore Kumar DPM***Senior Psychiatrist

Dr R Srinivasa Murthy M D***Professor of Psychiatry

PSYCHOSOCIAL CAREfor

INDIVIDUALS


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RIOTSRIOTSRIOTSRIOTSRIOTS

PSYCHOSOCIAL CARE

for INDIVIDUALS

Published byBOOKSforCHANGE(A Unit of ActionAid Karnataka Projects)139, Richmond RoadBangalore 560 025Ph: 080-5586682e-mail: [email protected]

Edition: First, 2002

Copyright Aman Samudhay

www.actionaidindia.orgwww.oxfamindia.orgwww.indiadisasters.org

This document may be freely reviewed, abstracted, reproduced or translated, in part or in whole, purely on a non-profit basis. Wewelcome receiving information of its adaptation or use. The opinions, analysis and recommendations expressed in this document

are solely the responsibility of the authors


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CONTENTSCONTENTSCONTENTSCONTENTSCONTENTS

Preface v

Acknowledgements vi

Understanding the situation you are in 1

Understanding your emotional reactions 4

What will help you recover faster? 14

Conclusion 29

Aman Pathiks 30


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Dedicated to

the people of the 2002

Gujarat Riots


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Riots pose a challenge to the total community. Everyone who is exposed to the riots experience disruption

of their life to varying degrees. Everyone in the community is a survivor. Among the survivors, the most

affected are people whose lives are disrupted more severely by the disaster. This includes those who

have lost their home, experienced violence, lost their family members and community.

For too long, psychosocial consequences have been neglected as a part of relief, rehabilitation and

reconstruction. In India, starting with the Bhopal disaster in 1984, there has been a gradual acceptance of

the need for psychosocial care. Long-term studies of psychological problems of disaster were studied in

the Bhopal population as well as among the survivors of the Marathwarda earthquake. Both of them

concluded that there is higher amount of emotional and physical illnesses even years after the disaster.

For the first time following the Orissa Super cyclone, a programme of psychosocial care with community

level workers (Snehakarmis) was implemented. This intervention demonstrated the nature of the needs

of the vulnerable groups, the possibility of community level workers to provide care and the effectiveness

of such care. In a way, the Orissa experience established a new approach to psychosocial care.

Every disaster is similar and different in a number of ways. The riots of Gujarat and what it means for

the population of Gujarat and the approach to psychosocial care are the scope of the current manual.

This information booklet differs from earlier efforts. It outlines the anger, anguish and betrayal felt by

the survivors and the normalisation of their emotions. The approaches outlined are totally based onextensive field work, the initial experiences of the Aman Pathiks in providing care and the observations

of mental health professionals to provide support and supervision.

In rebuilding of survivors, INDIVIDUALS have a very important role. It is initiatives taken by all the

people that will result in the recovery of individuals and the community. It is recognised that the Gujarat

Riots have impacted nearly all the population in varying degrees. The survivors who went through

violence are the worst affected. This booklet addresses their needs and presents strategies that can be

adopted to gain control over the experience.

The general population of Gujarat is also affected by the riots. Each one of them is a survivor in a

different way. A separate information booklet addresses their needs and the measures appropriate to

be taken to gain control over their experiences.The rebuilding of people, reconstruction of not only of shelters and livelihood but of the Human Spirit

are the challenge. This information booklet works towards that goal.

We sincerely appreciate the contributions of all of the authors. The Aman Pathiks, the People of Gujarat

who shared their personal lives and the Aman Samuday team in Gujarat.

PREFPREFPREFPREFPREFAAAAACECECECECE

R Srinivasa MurthyProfessor of PsychiatryNIMHANS

Bangalore 560 029

Harsh ManderCountry DirectorActionAid IndiaNew Delhi 110 049

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We would like to take this opportunity to thank all the people who helped to enrich this manual

in varied ways. While it may not be possible to acknowledge them all here, we would like to

start by extending our gratitude to the Aman Pathiks (their names have been listed in p. 30)

without whom none of this would have been possible. They have been with us constantly through

the entire process, right from the start during training to adding valuable insights from the field.

They continue to be our learnings.

We gratefully acknowledge the people and the organisations associated with the Citizens Initiative,

without whom the peace movement would not have been possible. Our special thanks to Aman

Samudaya supporters, Fr Victor Moses r. j. of St Xaviers Social Service Society, Mira Maleek of Centre

for Development, Mishra of Kamdhar Swasthya Seva Mandal, Rajendar of SAATH who braved the

riotous situation and brought in the volunteers to be shaped up as Aman Pathiks. A warm rememberance

on the sensitivities of Brinda Nanavati of Shantikumar Trust and Sushma J Pucadyil of INTACH.

Sonal of Eklavya Foundation and Wilfred of INSAF.

Specific mention is to Amar Jyoti Naik and Supriya of ActionAid India and M G Sriramappa and

Dr P V Unnikrishnan of Oxfam India for all their commitment to actualise the psychosocial care

component in the normalisation process of the riot victims.

There have been others who have given their time through discussions and review of our material andwe would like to thank them: Dr Darshan Trivedi, Dr Chandraguptsanan and Prof. Vankar of

Department of Psychiatry, Civil Hospital, Ahmedabad. We also place on record the service support

provided by Dr Ajay Chauhan, Medical Superintendent, Institute of Mental Health and his team.

We would like to acknowledge the support and guidance of our colleagues at Action Aid India, Gujarat

Regional Office Javeed, Hiren Gandhi, Beena Jadhav, Sunil and Raju. From Action Aid India Country

Office, Delhi Sandeep Chachra, Damodaram Kuppuswami, Jeroninio Almedia, Anurag and Sunil

Sharma and Shabir Ali from Action Aid, Bangalore office. Bhurelal is specially remembered for his

logistical support. Christy Abraham, Sunitha Singh, Sujatha and Seetharam of Bangalore Regional

Office for facilitating the requirements.

Special thanks are also due to all the volunteers from Andhra Pradesh, Rajasthan, Patna region whoactively gave feedback about the psychosocial needs in various camps and the Aman Pathiks. Sriram

and Somnath, the volunteers in action.

The diligent and meticulous work of Shoba Ramachandran, Shailaja, Rajeev, and Gokul of the publishing

house, Booksfor Change, Bangalore, deserve special mention. We would like to thank M B Suresh for

the excellent illustrations.

THE AUTHORS

2002

AAAAACKNOCKNOCKNOCKNOCKNOWLEDGEMENTWLEDGEMENTWLEDGEMENTWLEDGEMENTWLEDGEMENT

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BACKGROUNDGujarat was torn apart on 27 February 2002 bypossibly the most brutal savage sectarianviolence since Independence. This convulsed

the state of Gujarat and left a trail of profoundhuman tragedy. The violence resulted in thedeath of nearly 1000 persons, many of themwomen and children. It targeted a largenumber of women and girls with rape andsexual violence. Many others were injuredand disabled. Houses and commercialestablishments across the state were looted, destroyed and charred to the ground,resulting in mass destruction of livelihoods and displacement of people. Thousands ofpeople, mostly from the minority community, were rendered homeless. Places of

worship of the minority community were specifically targeted.

In the immediate aftermath of this violence, there were at least 1,00,000 women, childrenand men in the 103 relief camps in Ahmedabad. An estimated 50,000 people were insimilar camps across the rest of the state of Gujarat. Having lost everything they oncehad, people were condemned to live as internal refugees in their own state, often intheir own cities. The monumental pain, loss, betrayal and injustice suffered during theriots, the depth of anger and longing for revenge, the wounds may not heal forgenerations and desperate and depressed, documented in the media reflect theintensity of the psychological scar in the minds of the survivors.

Mastering changes in life situations is part of human existence. However life neverbargains for and never prepares people to face such severe adversities. Whenever anindividual faces an overwhelming event that is perceived as dangerous and beyondnormal coping capacity, the ability to respond adequately is limited temporarily. Atthat point of time people react in ways which are different from the usual behaviour,which is characterised by disturbing memories of the event, avoidance of experiencesthat remind of the event, withdrawal, fear and hyper arousal. It is important tounderstand that these are normal reactions to an abnormal situation. The violence inGujarat was an abnormal situation and in response to that, individuals would be

experiencing many reactions which may seem unusual.

UNDERSTANDING

THE SITUATIONYOU ARE IN

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Individuals need to understand that:

these reactions are normal

most people experience them

they can master these reactions so that the path to recovery and rehabilitation after a

disaster becomes much easier.

By understanding the process, individuals will not feel overwhelmed by emotions

and reactions. Rather, they will be able to work towards adopting effective coping

techniques to master the situation.

This booklet presents information to enable you to understand the reactions you are

experiencing after the riots that took place in February to March 2002. It also provides

details of what you can do to hasten the recovery process.

Having been through these riots, you would have experienced some personal loss or

witnessed suffering of other people. You would have experienced some or all of the

things given below:

Severe stress and trauma due to the riots

Anger and feelings of revenge against rioters

Sudden displacement

Difficulties of living in the camps

Uncertainty about the future and continuationof threat

Demands of rebuilding personal, family,

community life.

All these can result in feelings of anger, helplessness, depression and frustration. In

any disaster the social support system breaks down because everyone is affected by

the disaster. So having relatives or friends who could help you through a crisis may be

non-existent since they would also have been affected by the riots.

It is perfectly normal to feel angry, hopeless and helpless at such times and you will

need assistance from others around you. In order to help yourself get back to a normallife you need to focus on three basic things:

Understand the changes you experience in your body and mind as a result of the

disaster. This will enable you to cope with them better

When people face any traumatic event, they experience both emotional and physical

reactions. These reactions and feelings are normal responses and occur in most people

who face an event that overwhelms them. Acknowledging this will help you

understand better the changes experienced and be more comfortable in dealing with

what you are experiencing.

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Decrease the physical and emotional effects so that you start feeling better

It is well established that sharing of experiences and seeking support decreases

emotional stress. Meeting with others and the Aman Pathiks (Community levelhelpers) regularly, relating to them what you have experienced and how you arecurrently feeling, will decrease the pressure of the strong emotions within you. AmanPathiks will help you by listening to your problems, teach you to relax and guideyou about some of the effective coping strategies.

Get support to rebuild your life so that you can resume your normal life

routines as soon as possibleThe important task of rebuilding your life should start at the earliest and this could

be in terms of housing, employment, health etc. For example you may want helpwith compensation, assistance in paralegal work, practical help like getting forms,someone to accompany you to the offices or help you open a bank account or youmay have some medical problems that you need help with. Giving attention to theseneeds and taking action will help in rebuilding your life. The Aman Pathiks canassist you with information and support in all these areas.

The diagram below captures the recovery process after a disaster and what you can

do for yourself to hasten the recovery:

STRATEGIES TO HANDLE THE EFFECTS OF DISASTER ON YOU

Can lead to DISTRESS AND DISABILITYDISASTER

HELP YOURSELF TO RECOVER

All the above three can lead to

ADJUSTMENT OR MASTERY OVER EMOTIONAL DISTRESS

Decrease thephysical andemotional effects by:

Relaxing

Pursuing yourinterests

Getting socialsupport

Practising spiritualbeliefs

Understand changesin your body andmind by:

Sharing your

feelings and fearswith others

Being with peoplewho care for you

Accepting supportfrom others

Support and rebuildyour life by:

Getting help forhousing

Getting assistancefor compensation

Gettingparalegal aid

Getting educationalhelp

A B C

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Traumatic experiences cause stress, which is often beyond the coping capacity of an

individual. In such situations body and mind react by measures to fight or flight.

The reaction leads to symptoms that are manifested in changes in behaviour, bodily

experiences and emotional reactions.

This section helps you understand some of these experiences. Understanding the

reactions will help you feel more comfortable in dealing with the changes. You must

remember that:

These emotional reactions are normal responses to an abnormal experience

The reactions are common and experienced by everyone

Everybody who experiences a disaster is touched by it

The reactions manifest differently at different periods of time after the disaster

Rehabilitation and rebuilding is a slow process and takes time.

DISASTER

NORMAL REACTIONS

OUTCRY (immediate)

(Fear, sadness and rage)

DENIAL (one to two weeks)

(Refusing to face the memory of the disaster)

INTRUSION (six months)(Unstoppable thoughts of the events)

WORKING THROUGH (six months onwards)(Facing the reality of what has happened)

ADJUSTMENT

(Going on with life)

UNDERSTANDING

YOUR EMOTIONALREACTIONS

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It is important to recognise and understand these stages of emotional responses so that

in course of time you will overcome the intense emotions you are experiencing. For

instance, if you have constant thoughts about what happened, you may worry aboutlosing control over your mind or developing some mental breakdown. However, what

will make you feel more comfortable with these thoughts is:

knowing that it is normal to have such thoughts

that it happens to most people who have had a traumatic experience

knowing that you will soon feel better.

Some reactions that you could experience are:

Tension and anxiety

The riots occurred suddenly so that there was no time to think or be prepared. The

initial reaction was to run for safety. Fear is common till one reaches safer places. You

may still find yourself responding with a sense of fear to each and every sound, smoke

or fire, siren or coughing. You feel constantly on vigil for signs of further attacks by the

mobs. This can prevent you from sleeping.Sometimes you can become irritable and

angry. It is only a protective behaviour, which usually decreases gradually over a

period of time (few weeks). This is what other people have experienced:

We ran out without even wearing slippers (Aise bhage ki chappal bhi nahin pehne).

We rang up to find out when a big vehicle could come and pick us up.

We never even understood what was happening, but everyone was fleeing, so we too fled.

A 14-year-old boy saw his entire family being killed by the rioters.

Now if he sees a group of people coming close to him, he feels

people are coming to kill him.

Lets go from here, they are coming here.

Mothers talk about children in the community.

Children have started wetting their beds.

A woman shares what happens in the camp.

If there is any noise, all of us go running out to see what has happened.

Even a small noise gets us tense.

Even now if I hear some noise I get so alarmed as to what is happening.

My heart starts racing (Mera dil tez dhadakta hai).

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Numbness or shock

You will find it difficult to accept the reality of the magnitude and

extent of property loss, death and destruction for a short period.You wish as if nothing has happened. You can have a sense of

being paralysed, distant, and removed from ones feelings of grief.

You can be numb, or feel like a machine and go through the motions

of life without the usual feelings. At the same time, physical

symptoms such as confusion and loss of appetite are common.

These are some experiences:

For a few days I could not even understand as to what has happened (Thode din to samaje

mein bhi nahi aaya ki huya kya hai).

My daughter was so scared that she seemed a little lost for sometime (Yeh, ladki itna dar gai

the ki iske hosh khoye hua se the).

Initially when Ms A came she was in a very bad condition like a dead body. She used to just

lie in one corner silently.

That lady just sat in one corner, she lost her young son.

Relief among the survivors

After a few days you can feel a sense of joy of having escaped unharmed, having

family members safe. Often you feel very happy that you havesurvived. But at the same time this feeling puzzles and disturbs

you. You keep wondering:

How is it that I am feeling happy and relieved instead of

feeling depressed when I have lost a near and dear person?

What right do I have to survive when others have suffered

so much of loss?

How is it that I am feeling happy and relieved instead of feeling depressed when

I have lost a near and dear person?

Why was I unable to save the lives of my dear ones?

Why did we have to suffer the killings and tortures?

Should I take revenge?

Do not feel guilty about feeling so. It is a normal feeling among survivors.

Anger

You will feel angry with rioters and want to take revenge. Anger comes from your

feelings of helplessness and powerlessness. You can have feelings of resentment

towards God or towards life in general for the injustice. You may ask questions like

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What had I done? Why me? How could they do it? Slowly anger towards the

people who have brought you to this state will emerge. It can be a mild feeling or a

raging irrational emotion. You will talk or hear others talking of revenge. As time goesby, for most people the feelings of revenge reduces. For some people this can re-emerge

when they return to their homes and the memories of it all come back in a flash:

A young boy talks of revenge:

They killed my father I will kill theirs.

A mother who saw two of her children aged 6 and 7 killed and burnt in front of her:

What had the children done to anyone? They were so innocent? (un masoomo ne kya bigada

tha kisika, mujhe le jate) They could have taken me.

A teenage girl expresses her frustration and talks about revenge:

You either get those policemen and I will take care of them or get me my mother back.

A husband talks about his wifes changed behaviour:

My wife for small matters gets very angry with the children.

A woman while relating her experiences became very angry and started shouting:

Tell me what would your situation be if you were in my position, what wrong did we do?

A man expresses violent thoughts:

Next time this happens either I will be in jail or I will be dead.A woman expresses her thoughts about the situation:

What do you think these children who have seen so much of killing will become when they

grow up? They will become terrorists.

Guilt

You can feel guilty and regretful of your actions or reactions.

I should have done more; If only I had known this will happen,

I would have done something, etc., are words that come to the

minds of many people. The fact that you felt happy at being saved

will also cause distress. This is what some people have said:

I could not do anything to save them (Mein kuch nahin kar paya unko

bachane ke liye).

A woman talking about her daughter-in-law who had gone home

for delivery and died in the riots along with her entire family:

I should have got her back to my home; at least she would have been alive.

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A woman who saw women being molested and harassed but could not help, expresses

her helplessness, sadness and guilt:

When the rioters (tola) came I was hiding with other women. They started cutting up people,burning homes and doing bad things to women. We were watching but could not do anything.

I really think about that time and feel bad.

An old man expressing helplessness and guilt.

The girls in my colony used to call me chacha uncle. I saw the same children being raped,

they called out to me for help but I just hid and sat there, I could not do anything.

Depression and emptiness

After the period of shock passes and anger has been reduced, you start feeling sad

and hopeless. You suddenly experience a sense of great loss. Sadness, confusion,irritation, anger and feelings of wanting to be alone can follow. Sleep and appetite

would be disturbed; there would be lack of energy and concentration. You also feel

like crying for small things. Feelings of loneliness, emptiness, isolation, and self-pity

also surface during this phase. Some people have said:

A middle-aged lady talks about how she is helpless she felt when she came to

this camp:

All my family is gone what do I have to live for.

At times I feel I should have gone too.

I remember how it was earlier (Sab yaad aata hai phele jaisa tha).

Now we are just living in name. (Ab hum sirf naam ke liye ji rahein hain)

I have lost everything that I had saved. (Mera to saab kuch lut

gaya, sab joe banaya tha)

An aged man talks about sleep problems.

If I start thinking about something, the whole night I lie awake.

The food here in the camp is not nice.

My days just pass by. I do not know what to do.

There is nothing much to do here, just eat and then sit around.

When we came here we started feeling like beggars, having to sit in the

queue for tea or food in the camp. We did not feel like eating. We just

came here like orphans (lawaris) wearing whatever clothes we had on.

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A father talks about his loss:

I had two daughters, both were killed in this riots. They were raped and then burnt. I have

not been able to get the postmortem report till now. I have not got my compensation money.Half my head aches (Aadha sir dukhta hai) I feel like just lying down.

Earlier I used to be able to do a lot of work, now without doing much I feel very tired, my

body aches, I cannot put my mind to anything. (mera maan nahin lagta)

A man who used to sell items on a pushcart talks about his loss and the physical

symptoms:

I have lost everything I do not know what will happen in the

future. I have an ache in my back and my arms. The medicines

that the doctor gave do not seem to really help.

A woman expresses her loss and feeling of helplessness:

I lost my home as well as my married sons home. Both homes

have been looted. Now we have no support. Only these camp people

are there for us.

It feels as if we have been reborn; the whole world has changed for us. We have to start

all over again.

I do not feel like eating; even when I eat I eat little or nothing at all. (Bhook nahin lagti,

kabhi kha liya to khaya nahin to aise hi).

Reliving the experience

Restlessness, confusion, sleeplessness, repeated experiences

of the events and nightmares can come up. Several times you

will suddenly remember and re-live the experience; the noisy

mobs, burning houses, bloodshed, women shouting and

children crying can come back to your mind. Small sounds

can trigger these experiences. This can happen more at night

and in your dreams. Some people have shared their

experiences:

A boy of about 18 who survived recounts what he sometimes feels:

At times I cannot even cry, but also cannot hide the pain. I feel so terrible that I cannot even

explain. My voice does not come out, I get so scared. Memories of what used to be come back

to my mind.

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A woman who used to earn her living by sewing, but

now when she hears the whirr of the sewing machine,

she screams. It reminds her of the rioters coming andclosing in around her house. Loud voices or noises also

really upset her:

Oh God! Tell them to stop, I cannot take this.

A young boy saw his family members being killed, burnt alive in front

of his eyes. Only his father was saved. At night he gets up crying and

remembers the above moment when his brother was being killed and

his mother tried to intervene and was also killed:

I get up at night suddenly with the image of my mother throwing herself on

my brother to save him before they cut her up in two.

A woman talks about what she witnessed during the riots:

I saw the mob, they tortured and harassed the females by stripping them

naked, abused them physically and then burned them alive. I do not know why I just feel very

tired. I keep getting the same thought in my head again and again.

Even now the memories come to my mind (Abhi bhi yaad aata hai).

As time goes by, for most people the above feelings decrease. They start the process

of rebuilding their lives, adults get back to work and children restart their educational

activities and normal life routines. However it is a normal pattern that all the feelings

mentioned above can come back again and again, especially on occasions such as:

On specials days like birthdays of the loved ones who have been lost

While cooking a mother breaks down while talking of how her child who is no more used to

love a particular vegetable

An adolescent boy talked of how he heard a song being played on the radio and suddenly

memories of his home came back to him and for a moment he was stunned and could

not move

Another woman told us she feels really sad and all the memoriesof her kitchen and all that she had in it come back to her. She finds

it very difficult to cook; she specifically remembers the pressure

cooker she used to have; now the food takes so long to cook. It is

very frustrating and she does not feel like carrying on with life.

A young boy was mentioning the thing that he misses greatly is

the television and how he used to be glued to it. Now even the

basic amenities in his house are missing.

A father talks of how at home, only four of them now sit down to a meal. How can I feel

like eating? We lost two children; their thoughts keep coming back to us. I feel very angry.

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These statements demonstrate that all these cited experiences are common emotional

reactions seen in all people who have been through a trauma experience. It is important

to understand that the reactions are absolutely normal responses. Remember that theycan be mastered and overcome over a period of time (see Section III, What will help

you recover faster? pp.1428). There are several self help strategies to practise that can

make you feel more comfortable and in control as you go through these experiences.

The normal responses to a traumatic event change over time and you have to give

yourself time to go through those responses.

For instance, within a few hours of the event and till a few days after the event you

feel angry, betrayed, anxious, dazed, a sense of relief and elation, disoriented and

guilty. These reactions are short-lived, last for a few days and are experienced bymost of the people.

An 18-year-old girl

She lost her mother in the recent riots. Her mother had out of curiosity

gone out of the house to see what was happening and was killed in the

police firing even though she tried to run and escape the firing. This girl

was not able to deal with this loss. Her initial reaction was one of extreme

rage and anger. If anyone went to see her or talked about her mother, she

would scream and tell them to: Either get back my mother or get the

policemen who killed her and I will take care of them. She had not criedafter she lost her mother.

A 20-year-old boy

He used to work in a cycle shop owned by his family. On the day of the riots he came home

all the way cycling down and witnessed a lot of violence on the way. When he returned he

went into high fever from which he did recover. A week later, his father while returning

home from work was stabbed to death. On hearing this, the boy again got an attack of fever.

He became very quiet and lost all interest in life. He stopped talking and could not sleep

well at night.

One to six months after the disaster many people felt very lethargic, did not like to

respond to others, had physical symptoms, anxiety, anger, numbness, reliving the event

in their mind, are unable to enjoy things in life, etc. About 4050 per cent of the people

have such reactions.

Now after five months the 18-year-old girl is still quite disturbed by the loss of her

mother. She has started taking care of the house and cooks and cleans and looks after the

family members. This process of getting into some sort of a routine to some extent keeps

her busy. However, even now if someone mentions her mother she clams up and does not

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want to respond. She then goes away and silently sobs by herself. But the

anger has decreased.

The 20-year-old boy has developed speech difficulties. He stopped going

for work and stays at home. His hands trembled and he started stammering.

He did not talk about losing his father. Instead, he used to talk as if he is still

alive although he had himself seen the body of his father. He said he felt very

angry at what happened. However, five months later, he is on some medication

to help him sleep well. Now, he has returned back to work at least for part of

the day and regained his independence to a large extent. His speech is normal and coherent.

Beyond six months of the disaster there are some reactions that continue and are seen in

about 30 per cent of the people who have been through a traumatic event. This groupwould feel sad, depressed, guilty, angry, suffer loss of sleep and appetite, become irritable

develop suicidal tendencies and get disturbed by whatever reminds them of their loss

and actively avoid situations or stimulus that remind them about the traumatic event.

Some more examples of how individuals reacted to the events at different points

of time:

Within a few hours to a few days of the event

32-year-old C was dazed and numb for three days. She did not talk to anyone in the camp.

On the third day they took her to the mortuary where she was shown her 14-year-olddaughter who was killed with a metal pipe. C then burst into inconsolable weeping.

26-year-old D was elated that he was able to bring his wife safely to the relief camp. His

elation was short lived as his wife started having labour pains. Seeing her in pain he

became very tense, anxious and started abusing people responsible for the riots. The elderly

women in the camp joined together and attended to her. Three hours later she gave birth to

a baby girl.

68-year-old E strayed out in the melee of riots. During the commotion she had no news of

her daughter and grand children. One day she fainted on the road. Someone took her to theSundaram Nagar relief camp. She was disoriented for the next few days. When her daughter

traced her back at the camp, she started communicating slowly.

One to six months after the event

39-year-old F saw her handicapped son and his friend being tied together and set on fire.

She sits in a corner of the camp, clutching his crutches and crying. I loved him so much,

not because I sympathise with him but because of his love of everyone around. Can this

compensation bring him back? The daughter-in-law by the side keeps comforting her by

saying that the boy was very good, and whatever happened should not have been so.

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A 35-year-old woman keeps crying everyday. She does not want to

live anymore. She says that her husband had not even allowed her to

go out alone; he was so protective. She does not want to leave thecharred house. She repeatedly talks of how he used to sit, drink tea,

and sleep with the children. She does not know how to carry on her

life. Her sister from the neighbouring state is with her and pushes G

to prepare food for the kids. She keeps reminding G that she has to

live for her two children.

A 42-year-old man was stripped of his clothes and beaten. He was

hospitalised with fractures. On returning back he avoids going to the circle where he was

beaten up. He repeatedly recollects the scene of the mob closing in on him. He now feels

guilty and does not want to live this life. His friend has been a little successful in getting

him to go at least to the teashop nearby.

A 29-year-old woman is unhappy because her husband has lost his job in the printing press

where he was working earlier. Though he earns some money from other jobs, she finds

happiness is missing in her family life. The mother-in-law keeps telling her that she understands

the situation and that good days are ahead, so she must be happy.

A 15-year-old boy had sustained a severe burn injury. His mobility is

restricted; his face carries a lot of burn scars. He repeatedly asks why he

should live with scars on his face. He feels ashamed to sit in the verandah

with shorts. The grandfather gives him holy water every time he notices

the boy writhing his teeth with anger and pain. He keeps fanning him,

telling him that God has a purpose in saving him.

A 45-year-old man had a stroke earlier to the riots. His younger brother was taking care of

his family. After the riots, the younger brother lost his job in the Printing Press where he

was working. The loss made him commit suicide. Subsequently he has become very sad,

does not talk with others and tears fill his eyes. Once he attempted suicide and dragged

himself to the switchboard to hold a naked wire. Now his wife is cautious and does notmove away from him. She keeps reciting from the holy book for him.

For some people repeated images and recall of the disaster, decreased sleep, reduced

appetite, lack of concentration and/or fatigability can continue or increase over time.

This can interfere with daily functioning and prevent them from re-organising/

rebuilding their lives. These people need professional help. This would normally be

for a proportion of the population. These reactions would appear after few months or

so and can be quite intense and disabling. You can take steps to help hasten the recovery

process. The next section looks at what you can do.

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There are many things that you can do for yourself and others around you to hasten the

recovery process. These can be at the personal level, with other family members or at

the community level. Here we look at all three levels.

I NITIATIVES YOU CAN TAKE Acceptance of the changes

Following an emotional event, it is very common for individuals to deny that

something serious has happened in each ones life and they are now different from

what they were before the riots. It is at times helpful to deny the losses and changes.

However, without acceptance, healing and rebuilding can get delayed.

For example, a person with a broken bone has to accept that he needs help. Only this

acceptance will lead the person to take medical help and subsequently follow physical

exercises to recover the normal movement. Denial can lead to abnormal union of the

bone and long-term disability.

One of the first steps in recovery is acceptance of the event and how it has changed

life. This will help start the rebuilding process.

Sharing your thoughts, feelings and concerns with others

Once you have understood how you are feeling, it is good to be able to share your

experiences, feelings and thoughts with someone you trust. This helps you to decrease

whatever you are experiencing and will help you get relief from the emotional stress

you will be feeling. Understanding your reactions as weakness and avoiding seekingsupport can be detrimental.

For instance, in a pressure cooker, the safety valve is very important. The safety valve

helps the extra pressure to be released, failing which the whole cooker could burst. It

systematically and periodically takes the extra pressure out slowly and helps in getting

the food cooked.

It is important to slowly and repeatedly give expression to tensions, pain, anger

or other emotions that you are experiencing. We often do not spend time thinking

about emotions because they are invisible when compared to death, damage to

WHAT WILL

HELP YOURECOVER FASTER?

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physical health and property. But it is important to remember that emotional reactions

occur commonly. No one who witnesses a disaster is untouched.

It is important to realise that rebuilding your life and reconstruction of the entire

community following the disaster depends upon your ability to accept the losses as

early as possible. It will help you to understand and emotionally accept the current

situation and thereby work towards reconstruction of life at the individual, family

and community level.

Let us take an example of a man with an injury. An injury

to any part of the body will heal over a period of time

because the body has the ability to repair damage. The

natural repair process takes sometime. However, if he getsimmediate first aid for his injury (e.g., cleaning the wound

with clean water and covering the wound with a sterile or

clean cloth) the healing will be hastened, thereby the pain

and discomfort will gradually reduce. But on the other

hand, if the wound is unattended, it is likely to get infected

and healing will be delayed, leaving a bad scar. This might even cause some limitation

in the normal functioning of that part of the body.

It is important to note that in both cases the scar remains but in the

former situation the scar is limited and does not produce a limitationin function. In the latter case the scar is extensive and can produce

a limitation in functioning.

Similarly, pain due to loss and death leads to certain emotional

reactions. You need to share your feelings with others so as to

decrease the pain you are experiencing. This expression of

feelings and talking to others works like the sterile cloth over the opening of the

wound, preventing infection, allowing the body to work and heal. Non-availability

of such help to release or share these emotions can leave a deep scar in the mind.

Therefore, it is very important to share your pain, feelings and thoughts about

personal losses with others.

For instance, if you are feeling guilty about not having done enough to save your

neighbour while you were fleeing and these thoughts have been bothering you, then

the incident will hamper your daily life, you may find it difficult to sleep and can feel

depressed. Sharing this with someone will help reduce the stress in your mind and

reduce the guilt.

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Do find people in your family or relatives or friends with whom you can share your

feelings and thoughts? Aman Pathiks around you will always be willing to spend

time listening and being with you when you need them.

30-year-old L lost two children aged 5 and 6 years; in the riots

they were burnt and killed in front of her. She herself was beaten

up and has burn injuries on her back. She said, Achacha lagata

hain jab koi aata hai. She is currently residing in her new home

that has been rebuilt after the riots destroyed her earlier home.

While talking every now and then her mind returns to her two

children who she lost and she breaks down. She talks of her son

who she said was a very special child as he was a result of a lot of

prayers at the Ajmer Sharif Dargah. She asks, What had thechildren done to anyone? They were so innocent. They could have taken me (un masoomo

ne kya bigada tha kisika, mujhe le jate). She shared her memories with the Aman

Pathiks and felt relieved (Sukoon milta hai).

Get support

Everyone feels better with emotional support

that comes from others around him/ her.Social

support networks are extremely important for

feeling secure and cared for. In a disastersituation, these support systems get disrupted.

It is essential to try and rebuild some of these

support systems.

One way is to reach out to the Aman Pathiks who are there for this very support and

care. Take time to sit with them and share your feelings, thoughts and experiences.

The more you share the less overwhelming will be the pain of your experience. You

will slowly be able to build a bond with them and they would be able to help you

master the present situation.

It is important to form networks with people from your own area as well as get in

touch with your relatives in other towns or localities. Try and be part of groups of

similar ages and encourage others around you to do so too. For example, if you are

an adolescent boy/girl get together with other boys/girls of your age and do things

together. Do not feel that you are a weak person because you are seeking support.

Prior to the riots 45-year-old Chacha (means Uncle in the regional language and is

also used with respect) used to have a handcart to sell fruits. The cart was burnt up in

the riots. The Aman Pathik working with him helped him get a cart as part of the

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compensation package. Chacha however shared his fears about

returning to the earlier locality where he used to sell the fruits and

now was wondering where to start. The Aman Pathik went back tothe same area and spoke to shopkeepers saying that Chacha was

nervous about returning. The shopkeepers confirmed that nobody

would say anything to him and most certainly he could set up shop

there. The Aman Pathik persuaded M to then set up shop in the

same locality. On the first day itself, the Aman Pathik went and

bought fruits worth Rs25 from Chacha to show others that there was business being

done and help Chacha feel good. All this was of great help to Chacha to give him back

his confidence to return to his earlier locality and restart his business.

The Aman Pathik was able to give support to Chacha to restart his livelihood. It didnot stop with just getting him a handcart but beyond that. Chacha too accepted and

took the support being offered by the Aman Pathik to get back to a routine life.

Mr N has lost all the women in his family and was unable to manage the daily task of

making meals. To help him people from his extended family came and stayed with him.

A 37-year-old lady

Whatever we have right now were given by others around us who were not affected by

the riots. We lost everything.

A 28-year-old woman

During the riots she was separated from her in-laws and husband. The rioters caught

her, beat her up and partially burnt her. She was hospitalised. Her husband visited her

only once but left without taking her back. Then after a week or so her parents took her

home. Currently she is with her parents who have supported her during this trying

time. Her in-laws and husband are not too keen to take her back since she is burnt.

The support can be in small measures like being there in person or giving material

help like utensils or clothes, etc.

Externalise your interests

It is very important to make constructive use of your time even though all your

normal life routines are disrupted.

A 32-year-old woman

I have started cooking our own chappatis. Sometimes if

they require help with cutting the vegetables then I even

help out with that. It gives me something to do the whole

day. Also we make the chappatis the way we like it.

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A 38-year-old woman

The Bal Muskaan programme is good and my son goes there. Earlier he used to just

keep sitting and harass me too (Mujhe bhi hairan karta tha). Now he looks forward togoing to the session; he has something that takes his mind away from the painful memories

and emotions.

A 40- year-old woman

The greatest time we had was when the weddings were on. It felt like a big family preparing

for a wedding. There was a lot of laughter and fun. During the Haldi ceremony and

while putting Mehendi, for sometime we were able to forget all our pain.

These little things are productive for the

people involved in terms of enhancing

their recovery process. They are

engaged in activities and their minds

are meaningfully occupied. Physical

movement helps in feeling better and

energised. Get involved in the camp

activities or rebuilding of your home.

Follow a daily routine.

If you have some interests which can be

pursued, follow them. For instance, if youlike being with children then offer to look after some children for sometime, giving

the parents some free time, or join the childrens programme as a facilitator. At

some camps, people interested in sewing have been given training and machines

are provided. These groups of women have started sewing. Try and get engaged in

activities which are of your interest.

Getting back to routine is a great way of dealing with stress

and emotional reactions. The more you engage in activities or

recreation, the greater will be the normalisation in your life. It

is important to take control of your mind and let it get involvedin non-tense situations and experiences in order to recover faster.

Here are some instances when people have been able to structure their time into

meaningful activities which contribute to their recovery:

A 32-year-old woman

She had a sewing machine which she used to keep at home and stitch

clothes. But during the riots, everything was burnt and looted. She

said that the clothes that were kept for stitching were also set on fire.

She has hired a sewing machine and continues her stitching.

depression anxiety

looking ahead reaching out/networking

Emotional reactions undergo change over time.

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A 16-year-old boy

This boy was interested in children and has signed

up as a facilitator for the Bal Muskaan (Centre forchildren). He is engaging not only with children at

the camp but also does other work outside the camp,

getting lists, attending meetings, etc. This has helped

him forget his own pain. Initially his mother said he

was afraid of going out of the camp but slowly he has

started regaining his confidence.

Find time to relax

Relaxation is the opposite of tension. Engaging in recreational activities is verybeneficial to help with the recovery process, like listening to music. Some men in the

camps were listening to the radio, some camps had a loudspeaker with music playing.

It just changed the atmosphere of the place.

Make time during the day to lie down for sometime. Go for walks and spend time

just being at peace with yourself.

Undertake relaxation exercises regularly, it is very beneficial too.

Sit in a squatting position with hands on the knees. Then

take a deep breath, hold it for a few seconds and slowlyexhale. Do this for at least 510 minutes slowly. Repeat

this twice a day.

Another exercise: Lie down flat on the floor. Close your

eyes. Take a deep breath and exhale slowly. This should

be done for 5 minutes several times a day. Concentrate

on fresh air that is coming in and the warm stale air that

is going out of your body.

Here are two instances when children have gone on to do things that help

them relax:

A 16-year-old boy

He used to paint beautifully and had lots of good colours and drawing material according

to the mother. During the recent riots he lost all his materials and the three drawing

books he had. But right now his parents have managed to get him some colours and one

book to start off with and Mr G has already started painting.

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A 6-year-old boy

He lost everyone in his family. He stays in the camp still and does few odd jobs earning

about Rs 30 per day. Out of the Rs 30 that he earns he spends Rs 10 daily to hire a cyclefor two hours and spends time cycling around in the vicinity.

Choose positive lifestyles

It is important that you adopt a positive lifestyle to rebuild your daily life. This

means you need to:

Have at least 8 hours of sleep; take rest during the day

if you feel like

Avoid smoking, avoid alcohol or other intoxicants

Make sure that you eat your meals, specially your

breakfast

Make time everyday to relax and have a good time by gathering together at a central

place, playing games, reading, listening to music, singing, performing prayers.

Acknowledge and admit that you will not be always functioning at your usual level

of efficiency for a few weeks/months. Try and follow a regular routine and get

involved in some activities, whether home keeping or rebuilding activities, to engage

your mind productively.

45-year-old X has been able to see that he needs to restart a routine life to help himfeel better. To start with, he has accepted that he will be living in the camp for

sometime. Then he is working around to see how to best to live a good life here.

A 45-year-old man

I was initially very embarrassed to find myself in this camp. Now I have chosen to live

with dignity wherever I am. My children still cannot accept living here but I have

started. I believe you should have the will

to start. I make sure I wash and wear clean

clothes and look dignified. Then I

sometimes go out and meet my older

employers and have started planning

what to do. I do not spend time feeling

sad or sorry. If you look at me you will

find that I am fresh. 10 years ago I started

with a hut here and even now we can do

it all over again. I stay in the camp and we have tried to make it our space a much as

possible. Even though we have relatives outside, I do not go there.

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A 42-year-old woman

My husband has recovered from his eye operation which he had done

while still at the camp. Now that he is better he has started going forhis walks daily in the morning and in the evening. At least he does

some exercise. Apart from that he also goes once in a while to see our

house that is being rebuilt. For myself I have got involved as an Aman

Pathik in this programme. I have started cooking here itself. We make

our own food and then all of us get on with our tasks for the day.

Practice your spiritual beliefs

In our country religious belief or belief in a

higher power greater than human beings isan integral part of our own self, giving us

great relief and support during testing times.

Initiate and participate in rituals like

collective -grieving, prayer meetings or

group mournings if you have lost a near

and dear one. This will help you come to terms with the loss of the person.

You will question this power at times to ask why you are suffering and why you had

to go through the pain but at the same time you will find strength in the same power

to get through any crisis you are facing. So it is important to practice whatever spiritualbelief you have as it has tremendous power to heal pain.

Both the examples given below illustrate how spirituality can help us get back a

sense of normalcy.

A 4-year-old child

After the riots when the family returned home, 4-year-old K

started demonstrating clinging behaviour so much so that his

mother was unable to go to the bathroom, without him crying

and banging on the door.

When the first day the Aman Pathik visited the home, the child

refused to speak with him. The mother said that his elder sister

had started going to school but this boy was refusing to go to

the Madrasa, which he earlier used to enjoy going to. He was

feeling very scared and nervous. The Aman Pathik spent sometime but the child hid

behind the mother and refused to speak. Then he stood behind his mother without showing

his face and when the Aman Pathik asked whether he would like to be go to a big school,

he answered in a loud voice, yes. Then the Aman Pathik asked, Is it okay if I come

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back tomorrow; will you speak to me? He said, Yes, again all the while hiding

behind his mothers head.

The Aman Pathik returned the next day and accompanied the boy to the Madrasa,

which the child used to enjoy going to. They did this for a few days, after which the

child started going on his own. So although he did not want to go to school, the childs

spiritual interest was used as a medium to get over his clinging behaviour.

Community Mosque

The community mosque has been repaired in one of the areas which was badly affected

by the riots and prayers are regularly being said there. The people who have started

returning home visit the mosque regularly. They showed the loudspeakers that have

just been put up. The children of the community rely a lot on their religious beliefsaying, When we feel scared at night and cannot sleep, we say our prayers and with

the name of god, shut our eyes and then fall asleep (jab neend nahin aa rahi hoti to

Bismila karke aankh band kar leteing hain).

You can use the above seven initiatives to help get back to your normal way of

living again. Given below are some examples of what to do:

Some things you can do if:

You have a problem in falling asleep at night

Practice the relaxation techniques before going to bed Make sure you talk with your family everyday, share

good things that happened that day

Read some book

If something is bothering you discuss it with someone

Go for a walk in the evening

Pray before sleeping.

You have a problem in controlling your anger

Talk to someone about what makes you angry

Think of the different ways the irritating issue can be seen

Do some physical exercise daily; it will relax your mind

Get involved in doing some work; it will take your mind off the issue

Practice relaxation on a daily basis

Pray regularly

If you find yourself getting angry, stop and take a few deep breathes to calm

yourself

Talk to someone who is coping with his or her anger in a healthier manner.

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You find that you are constantly feeling tired

Get enough sleep at night

Take a nap in the afternoon after lunch Structure your day and follow a regular routine

Do some physical exercises

Eat well, specially your morning breakfast

Drink enough water during the day

Include an enjoyable event like listening to music, playing a game

in your routine.

These simple steps will help you get back to a routine and then make you feel much

better. Soon you will be functioning as you used to.

Y OUR FAMILYThe family is the primary unit of care and support for all individuals. In stressful

situations, the role of a family as a caregiver becomes even more critical. They are the

best people to give support and comfort.

You can take some steps to help your family to recover

Be together as a family. Do not send women, children

etc., to other places for safety as the separation can

cause anxiety to them and to you. Take time to sittogether and share the experience of losses. Touch and

comfort your parents, children, spouse, etc. It will

make you as well as the other person feel good. It is a

good idea to contact other relatives. It will help you to feel strengthened. If you have

lost a family member then participate in rituals like prayers, placing the dead persons

photographs in front of you, etc.

Make time for family recreation using what is available like the radio, television, visiting

religious places, playing with children and engaging in sewing. Resume normal activities

of the pre-disaster days with the family. Restart activities that are special to your familylike having meals together, praying, playing games, etc. All this will help get a sense of

normalcy back to your life.

A family member has experienced violence/injury

Anyone who suffers painful and hurtful experiences reacts physically and emotionally.

It is important to take special care because he/she can:

keep thinking all the time about those painful experiences from the past.

feel as though reliving the same experiences repeatedly

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Children in the family need special attention

Children do not have the mental or emotional

maturity to understand adverse situations like adults.Often they cannot comprehend what has happened

to them. The impact of events like loud noises,

shouting, running, panic and anxiety, separation from

loved ones, loss of the comfortable environment, etc.,

affects them more than an adult.

Children tend to show reactions to stress in the form

of crying, clinging to adults, becoming listless and apathetic, having disturbed sleep,

wetting their bed at night, developing health problems and behaving like a child

much younger than his/her age. When they get back to school they might do badlyin their studies. They can show behaviour like irritability, anger, fights, lying,

disobedience, etc., which would all be ways of showing their anger at what has

happened. You have to take measures to increase feelings of security and bonding.

You need to understand that these changes are normal for the situation and take

measures to help the child get over his/her stress. Some things you can do are:

Re-establishing routines like eating, sleeping, going to school

Giving security by actions like touching, hugging, reassuring them verbally

Allowing them to talk about the event and listen to them without giving any

advice

Encouraging them to play or offering opportunities for painting and drawing

where they can express their emotions. This is very healing

Story telling, singing songs and games involving physical movement are other

things that will help them feel better

Giving lots of praise and love to them

Pay more attention and spend time on their studies once they return to school.

If there are old people in your community there must be efforts to support them

Very old people are often not totally in control ofsituations. They can take a longer time to recover

from the disaster. When confronted with the death

of many young people in front of them they can

become very depressed, they might withdraw and

cry. They may find it difficult to sleep and lose their

appetite and also fall ill. At times you may find

them agitated and at other times they would be

feeling hopeless and having suicidal tendencies

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It is important to take special care of them. They need to be near their loved ones and

people who can spend time with them. Touching them and allowing them to cry when

they feel like it is really beneficial because quite often they talk of their past life.

Re-establishing their daily routines, giving them responsibility that they can carry

out without too much difficulty and enabling them to pray are some things that can

help them to feel better.

HANDLING RELIEF AND COMPENSATIONSettling claims for compensation can be a very

exhausting process both emotionally as well as with

regard to physical running around. Returning to

your home and seeing the destruction, or while

filling out forms and having to state who all passed

away, etc., or making a list of all that you lost, can

be very upsetting.

You will find the process of having to fill out many

forms and repeating personal details very often tiring. You will not get immediate

returns for all your efforts. This makes you feel very frustrated. You need to have patience

and wait for the money and other assistance to come; it may often take longer than it

really should. Whenever the wait is too long then share your feelings with Aman Pathiks.They will understand and support you. Remember, you are not alone in this. Often,

the compensation that you are waiting for is not really adequate in terms of what you

have lost and the rebuilding will not be comparable to what you earlier had. All these

issues can cause you anger and make you feel upset. Understand this is a normal feeling

that anyone would go through. It is important to seek out Aman Pathiks at these times

and share your feelings and thoughts with them. Sharing your feelings will help you

feel much better and also others will be able to help.

Try and tap many sources to find out how you can re-start your livelihood as soon as

possible. See what sort of assistance the groups providing help with rebuilding of homescan give you. It is important that you draw from as many sources as you can.

Y OUR COMMUNITYThe following activities help in rebuilding of community life and setting up the social

support systems, which is essential in the long-term rehabilitation process. The

community as a whole can think of actions not only on how best to rebuild lives but

also take steps to prevent further occurrences.

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Group meetings

Take part in group meetings and brainstorm

about various measures/initiatives for

rebuilding the community. These stimulate you

to think. It helps the community to come to terms

with the reality of loss and emptiness and helps

to initiate collective action and rebuild lives.

Meetings happened at the camps to discuss issues like the preparations for mass

marriages. At one place a community meal was organised and prior to that meetings

pertaining to that were held.

Supporting group initiatives

Support community-based actions like clearing rubble

from broken homes, putting up temporary shelters,

providing food for those who are the only survivors or

those who are disabled or dependent.

This helps you feel good and also benefits others who

need help to come to terms with reality. There are

initiatives to mobilise support for community contribution, whether in cash or kind,

towards rebuilding tohomes.

There were camps that were being run by local community members. At one place a

member of the other community had donated the cinema hall for running a camp.

Other groups took up rebuilding of homes while some sponsored the mass weddings.

Group mourning

Group mourning is a process of mass grieving. It expresses solidarity of the grief-

stricken community and facilitates unity and collective action. These are traditional

methods for people to come to terms with their loss and start their grieving process,

which in turn will help you move ahead in your life. Try to take part in such activities.

Cultural aspects

There are cultural aspects of each community that help with recovery from a

traumatic event. Singing of folk songs in Orissa was seen as helping people gather

in a common place and share their grief. There is a sense of commonality in grief

that increases the cohesiveness of the community and motivates them. Anything

that is culturally uplifting should be encouraged. All these lead to a normalisation

process and faster recovery.

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In Gujarat the process of putting mehendi is very common and at camps this was

initially started when mass weddings were organised. Later it carried on even when

there was no wedding at the camp. These incidents, though small, were steps towardsthe normalisation of lives.

Sensitisation process

Organise rallies to sensitise the administration regarding delays in implementation

of action for restoration, rebuilding, relocation, compensation, etc. Rallies are also a

powerful expression of solidarity.

A rally was taken out by the people which also had key

members of the government participating. This was

done in an area where earlier there was great insecurity.

It helped in rebuilding the faith of the people in the

government agency. It helped sensitise the government

office bearers to the reality of the situation.

Involve religious leaders, opinion leaders, in all community activities. Talk to the

larger community about re-education, especially on ways to handle rumours.

The cultural wing of the Amansamudaya is holding street plays both within and outside

the camps, which is getting great responses from the audiences. It is leaving behind

ideas to think and reflect upon.

It is important to remember that we as individuals have certain responsibilities as

well. Keeping these in mind will ensure that we prevent further troublesome

situations and build a stronger united society.

Try to obtain authentic information; do not believe in rumours

Do not spread rumours

Deal with your negative feelings in a healthy and positive manner

Help in promoting secular feelings among others, specially in children.

It is only through the combined efforts of working at our individual level, then moving

on to our family members and finally to our community that we can really look at

wholistic rebuilding after any disaster. We need to work at all these three levels

before any work can have a long-term constructive effect.

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Reading this booklet you will have understood the emotional reactions you are

experiencing and seeing around are normal responses to an abnormal situation. You

will also understand that reactions go through stages and as time moves on, by taking

a few steps to care for yourself, a sense of normalcy returns. The important thing is to

accept the reactions as being normal and take active steps to hasten the recovery process.

This booklet highlights certain steps like returning to a routine lifestyle, spending time

sharing your thoughts, feelings and experiences, adopting healthy lifestyles, pursuing

interests and spiritual beliefs as areas to focus on to hasten the recovery process.

It is clear that families have members, like women, the elderly and children and the

disabled, who may require special care and attention because of their vulnerability.

The booklet also highlights steps to support and care for these members and help them

cope with the situation in an effective manner.

The whole mechanism to recover and rebuild focuses on the strength of the family and

the community as a unit and how one can draw support from it for greater and

sustainable healing and recovery.

CONCLUSION

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Ahmed Hussain Mansuri,Ajmeri Jubedha Bhen, Alaudin Syed Hussain,

Ansari Abdul Hakim, Ansari Anwar Hussain, AnsariJameela, Ansari Makbul Ahmed, Ansari Md Sultan T, Ansari

Mohammed Faraz, Ansari Mustaq Ahmed, Ansari Noorjahan A,

Ansari Rashida, Ansari Saleem M, Ansari Shamsu Dhuha, Ansari

Shehanaaz Banu, Anwar Ali Sheikh, Anwar Khan, Arifkhan Pathan, Asif Bai

Sheikh, Ayub Bhai S Bhai, Babu Bhai Rathod, Baluram, Bharvad Bhavan Bhai, BilkishT, Chauhan Kishor, Chowdary Satish, Christian Rupal J, Damthedi Ramand Bhai, Dave

Hardik Kanaiyalal, Desai Natwar T, Desai Sikander M, Desai Teja Bai, Devika Bhen, Dinesh

Goswami, Dipak Vegada, Diwan Noorjahan H, Dubhi Goutam Kumar, Feroz Khan N, GanchiIrfan M, Gayathri S Pandey, Gevam Bhai, Goswami Durga, Goswami Harshad V, Gulshan Banu,

I R Pathan, Imran Iqbal Khan, Imran Khan Pattan, Imtiaz Bhai Kureshi, Irshad Banu Shriyad,

Jaswant K Rathod, Johara Bibi, Kailash J Damthadi, Kalpana K Parmar, Kasim Khan, Kazi MoMobeen, Khabetha Nasim Ansari, Khan Mamnoon, Khania Laxmanbhai, Macwone Palvin M,Madhupurawala I A, Mahesh R Vaghela, Makwana Jayesh, Malek Akthar, Mamesha G Vegalha, Manish

Bai Solanki, Mansuri Md Zakir Y, Mansuri Nasim Bhen Hasan Bai, Mansuri Shaukat Md. Bhai, Mansuri

Zakir Hussain Usmaan, Maqsood Bhai, Mazhar Khan A Khan Warsi, Md. Razak J Bhai Mansuri, Meena

Bhen, Mehrunissa Sheikh, Memon Dilavar, Mohammed Javed, Mustaq Hussain, Nasir Bhai Phattan,Nayak Ashok Bhai, Nazma Banu, Neelam P Parmar, Nirmala K Dhuri, Noorani Mohammed Abbas,

Noorjahan Aziz Khan, Padhiyar Himanshu, Panchal Malthi Bhen, Paramarak Dinesh, Parmar Rakesh,Parmar Vijay L, Parvathi Mohanlal, Patadiya Mukesh, Pateriya Jignesh B, Pathan Abdul Latif, Pathan

Abdul Wafa A, Pathan Imran Khan A, Pathan Mahar Angag, Pathan Nazima, Pathan Shah Nawaz H,

Pazi Seemab, Praful Jacob Khambalia, Pravin R Sharma, Premsagar Mahender J, Priyakant Pandey,

Qazi Subahut, Rajesh Bhai D Rathod, Rajesh Kumar, Rajesh Kumar Mishra, Ramesh N Bagade,Rashida Pathan, Rekha, Sailesh Kumar N, Saiyad Mohsin Y, Saiyed Gulzal Fatma, SaiyedNikhat Parveen, Saiyez Zulfikar, Sajid Bai Mallick, Sajid Bai Qureshi, Saleem Bhai K Mansuri,

Salim Bai Mansoori, Salmania Bardat, Sanda Sameer S, Sarif Bhai Babu Bhai, Saroj

Jaunbhai, Satish Bai Chowdry, Savabhai, Savitha Bhen, Savitri B Dubey, Shah Gulam

Hussain, Shaik Mohammed Rashid, Shaikh Amin, Shaikh Amjed Ali, Shaikh

Arshad, Shaikh Ezaz, Shaikh Imran H, Shaikh Mayudhin, Shaikh Md Saleem

Md H, Shaikh Md. Rafi Mehaboob, Shaikh Md. Saleem, Shaikh

Mohammed Rafi, Shaikh Naseem Bano, Shaikh Siraj K, Sharda

Bhen, Sharifa Banu, Shariff Bhai, Sheik Abdul Kasim, Sheik

Feroz Ahmed, Sheik Idris Ranjanbhai, Sheik Nasim

Banu, Sheik Sarfaraz Ahmed, SheikhAfsar Hussain, Sheikh

Anish, Sheikh Anjuman Ara, Sheikh Anjuman Banu,

Sheikh Ashia, Sheikh Azim Bhai, Sheikh Jahunisa, Sheikh

Mehrunissa, Sheikh Nilofar, Sheikh Shabnam, Sheikh Shafikudhin,

Sheikh Shamim Akthar, Sheikh Zuber, Shilpa M Chirstian, Shrimali Banubhai,

Shubash Sukhdev Vasanik, Siraj Ud Din, Solanki Chethan C, Solanki Dinesh, Solanki

Girish, Solanki Shilpa Bhen, Sufiya Bano, Suhana J Mansuri, Surekha B Guptha, Syed Nasir

Ali, Trupthi Bhai Solanki, Ujay Pathan Noorjahan, Ujjaini Hozefa M, Umar Farook Md S, VagelaChimanlal, Vagela Shantha Bhen, Varsha Bai Qureshi, Varsha Bhen, Vipur Patel Chand,

Yousuf Bai Mansoori, Zakir S Kazi

A m a n P a t h i k s

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WHAT WE KNOW...

Intense emotional reactions in the face of these events are expected and normal.

There is a trajectory of responses over time most often starting early and subsiding

within weeks and months. But for some people, the onset of responses may be delayed.

In others, the reactions may become long-term leading to considerable disability.

Responses will be highly individual in nature, often quite intense and sometimes

conflictual. The vast majority of reactions are in the normal range and the intensity

will diminish for most people over time without the need for professional help. Support

from family and friends is critical. For some, however, the degree of exposure may

lead to more serious and prolonged reactions.

The range of feelings experienced may be quite broad. People may describe intense

feelings of sadness followed by anger. Others may experience fearfulness and

hypervigilance to the environment among numerous other reactions. There may be temporary disruptions in normal coping mechanisms for many people

and some may go on to develop problems with sleep, nightmares, concentration,

intrusive thoughts and a preoccupation with reliving the events. These reactions are

generally short lived but if they persist, professional consultation should be sought.

WHAT CAN BE DONE?

Create opportunities for people to talk and share experiences in supportive groups.

This is often done best in familiar surroundings such as religious places, schools or

community centers.

Provide accurate and practical information especially concerning the larger recovery

efforts. Special attention to the needs of relief applicants is necessary as relating to the

rules and regulations of the relief organizations during the crisis can be overwhelming.

Give particular consideration to the needs of special groups such as children, those

who have been most intensely exposed or had a history of previous events (exposure

to trauma), rescue workers, and people with pre existing mental health conditions.

Children and adolescents will need the support of their caregivers. This support should

reflect accurate concerns, and diminish any words or actions that would increase the

child or adolescents anxiety. Caregivers should offer reassurance as to their presence

and availability during this time. Exposure to television, movies or print matter that

offers too graphic depictions of the destruction or victims should be limited. A percentage of people, as high as 30%, who experience the most direct exposure to

the events may go on to develop more serious mental health concerns and should be

referred for services if they develop persistent issues.

Overwhelming feelings are to be expected and can stress individuals, communities and

nations. There are many actions that can be taken at the level of governments, international

NGOs and local groups to appropriately and effectively support victims of such a

catastrophe.

WHO, October 2001


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RIOTS

PSYCHOSOCIAL CARE

for

INDIVIDUALS

Disasters pose a monumental challenge to the total community.

There has been a gradual acceptance of the need for psychosocial

care. The recent Gujarat Riots has left behind a trail of anger,

anguish, betrayal and emotional scars that poses an enormous

challenge of normalising the peoples feelings, rebuilding the

people, reconstruction not only of shelters and livelihood but of

the human spirit and communal harmony.

The information booklet is unique because:

1. It addresses normalisation of emotional reaction.

2. It carries a large amount of relevant field experiences.

3. It is based on the actual training of 200 Aman Pathiks.

4. It is user friendly, based on the field level pre-testing and

gatekeepers interviews.

It is a collaborative effort of professionals, voluntary agencies

and survivors.

Documents

Riots Manual 1 - Psychosocial Care for Individuals - KAMHA.ORG